91 utilization opportunities in Baltimore updated today
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· Page 1 / 5Description Company Description The Vertex Companies, LLC (VERTEX) is a global $150M professional services firm that offers integrated forensic consulting, expert witness services, construction project advisory, and compliance and regulatory consultingto a myriad of markets and industries. Our brand
Description Company Description The Vertex Companies, LLC (VERTEX) is a global $150M professional services firm that offers integrated forensic consulting, expert witness services, construction project advisory, and compliance and regulatory consultingto a myriad of markets and industries. Our brand
Description Company Description The Vertex Companies, LLC (VERTEX) is a global $150M professional services firm that offers integrated forensic consulting, expert witness services, construction project advisory, and compliance and regulatory consultingto a myriad of markets and industries. Our brand
Description Company Description The Vertex Companies, LLC (VERTEX) is a global $150M professional services firm that offers integrated forensic consulting, expert witness services, construction project advisory, and compliance and regulatory consultingto a myriad of markets and industries. Our brand
Description Company Description The Vertex Companies, LLC (VERTEX) is a global $150M professional services firm that offers integrated forensic consulting, expert witness services, construction project advisory, and compliance and regulatory consultingto a myriad of markets and industries. Our brand
Description Company Description The Vertex Companies, LLC (VERTEX) is a global $150M professional services firm that offers integrated forensic consulting, expert witness services, construction project advisory, and compliance and regulatory consultingto a myriad of markets and industries. Our brand
About this Job: General Summary of Position Coordinates negotiates procures and manages care of our members/enrollees to facilitate cost effective care and members/enrollees satisfaction. Facilitates the continuum of care works collaboratively with interdisciplinary staff internal and external to th
Job Requirements Located in Largo in the heart of Prince George’s County, our new state-of-the-art regional medical center (University of Maryland Capital Region Medical Center) will provide improved access to primary and ambulatory care services and serve as a tertiary care center for critically il
Behavioral Health Utilization Management Medical Case Manager CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven community‐based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready
Job Requirements Job Summary Utilization Review coordinates the care and service of selected patient populations across the continuum. He/ she works collaboratively with physicians and other members of the health care team to achieve the highest quality clinical outcomes with the most cost-effective
About The Job General Summary of Position Coordinates negotiates procures and manages care of our members/enrollees to facilitate cost effective care and members/enrollees satisfaction. Facilitates the continuum of care works collaboratively with interdisciplinary staff internal and external to the
PwCSpecialty/Competency: Operations Industry/Sector: Health Services Time Type: Full time Travel Requirements: Up to 80% At PwC, our people in operations consulting specialise in providing consulting services on optimising operational efficiency and effectiveness. These individuals analyse client needs
CenterWellBecome a part of our caring community Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team th
HumanaBecome a part of our caring community The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Join a c
PWCIndustry/Sector Health Services Specialism Operations Management Level Manager Job Description & Summary At PwC, our people in operations consulting specialise in providing consulting services on optimising operational efficiency and effectiveness. These individuals analyse client needs, develop
KMM TechnologiesPosition Utilization Management Coordinator Location Reston, VA (Hybrid) Duration Contract, 3+ months Rate $20/hr Job Description Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, ca
University of Maryland Medical SystemJob Requirements This role is full-time. Monday - Friday 8:00 am - 4:30 pm EST Responsible for performing utilization management. Proactively review, identify and document potentially avoidable utilization and patient quality/efficiency concerns. Work collaboratively with internal team as well as ex
Hispanic Alliance for Career EnhancementA leading health solutions company in Maryland is seeking an experienced Registered Nurse for a full-time position in Utilization Management. This role involves assessing and coordinating healthcare services, where you will need to possess strong clinical judgment. Applicants should have at least 3
Hispanic Alliance for Career EnhancementOverview At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital c
Humana IncBecome a part of our caring community The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Join a c
Humana IncA healthcare company is seeking a Medical Director who will conduct reviews of inpatient medical records to determine medical necessity. The ideal candidate has an MD or DO with over 5 years of post-residency clinical experience and strong analytical and communication skills. The position involves w
Become a part of our caring community The UM Administration Coordinator (UMAC) provides non-clinical support for policies ensuring the most appropriate treatment, care or services for members using services. Reporting to the Manager of Utilization Management, you will work fully remote. You are part
*Requisition Number**1184*<br />*Remote?**Yes*<br /><br />*Why Work at AbsoluteCare?*<br />At AbsoluteCare, we serve the most vulnerable individuals in America. These are our neighbors, people who are at higher risk for disease or who have multiple, complex, chronic illnesses
Luminis Health*Position Objective:** Conducts concurrent and retrospective chart review for clinical, financial, and resource utilization information. Provides intervention and coordination to decrease avoidable delays and denial of payment. *Essential Job Duties:** *1. Chart Review**: Reviews the medical record
Johns Hopkins Health SystemOne organization. **Countless opportunities.** Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine, one of the premier health delivery, academic, and research institutions in the United States. JHHP is a $2.5B business serving over 400,000 liv
Company Description Experience the highest level of appreciation at UM Baltimore Washington Medical Center — named Top Workplace in the Baltimore area by The Baltimore Sun two years in a row (2019 & 2020); Top Workplace in the USA for 2021! As part of the acclaimed University of Maryland Medical Sys
Public Consulting GroupPublic Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000 professionals throughout the U.S.-all committed t
Walker Health Services partners with behavioral health providers to offer a full suite of administrative solutions, including comprehensive medical billing, utilization review services, and credentialing support. Our mission is to simplify the complexities of revenue cycle management, helping provid
University of Maryland Medical System*Job Requirements** ## **Company Description** Experience the highest level of appreciation at UM Baltimore Washington Medical Center — named Top Workplace in the Baltimore area by The Baltimore Sun two years in a row (2019 & 2020); Top Workplace in the USA for 2021! As part of the acclaimed Uni
Luminis HealthAdditional Information Anne Arundel Medical Center, Annapolis, MD. Full Time (40 hours/week), no weekends nor holidays. FLSA Status: Hourly/Non-exempt. Position Objective: Conducts concurrent and retrospective chart review for clinical, financial, and resource utilization information. Provides inter
Description Company Description The Vertex Companies, LLC (VERTEX) is a global $150M professional services firm that offers integrated forensic consulting, expert witness services, construction project advisory, and compliance and regulatory consultingto a myriad of markets and industries. Our brand
Summary This is an EVERY Saturday and Sunday role Who We Are LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to “improve the health of people in the communities we serve.” Join us to advance health acce
$40,000 – $63,000/year
Estimation confidence: Low
Estimate based on market data for Baltimore. Actual salaries may vary depending on experience, company, and area.
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